The patient wanted to replace an old case covering the upper right second premolar with a new one. After the clinical and radiographic examination, it was found that the premolar was denervated and had been restored in the past with a cast shaft. According to the treatment plan, it was decided to remove the metal shaft, repeat denervation and make a new all-ceramic case. Because after the removal of all the prosthetic work, it appeared that the tooth was missing all its dental molar and only its root was left, it was decided to make 2 cases (in combination with the adjacent molar), so that the tooth would have better support and the new prosthetic work would have greater resistance to chewing forces and thus a longer duration over time.
Remainder of the premolar after removing the old case and the old metal shaft through the tooth
Remainder of the premolar after removing the old case and the old metal shaft through the tooth
The metal shaft removed from the tooth
Premolar temporary socket made in the office
Premolar temporary socket made in the office
The two teeth ground before accepting the cases
Final image of the two all-ceramic cases
Final image of the two all-ceramic cases
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Dr. med. dent. Mariza Dimitrouli
Dr. med. dent. Mariza Dimitrouli is a specialist at the University of Hannover, Germany (MHI) and also holds a PhD from the same university. She also worked in a dental clinic in Berlin. The title of Endodontist held by Dr. M. Dimitrouli is renewed every six years by the German Endodontics Society. She has a private practice in Thessaloniki, Thermi.